Ms Nicole A Johnson, PA-C | |
405 W Jackson St, Carbondale, IL 62901-1462 | |
(618) 549-0721 | |
Not Available |
Full Name | Ms Nicole A Johnson |
---|---|
Gender | Female |
Speciality | Physician Assistant |
Experience | 13 Years |
Location | 405 W Jackson St, Carbondale, Illinois |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033250576 | NPI | - | NPPES |
085-002903 | Other | IL | PA LICENSE NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363AM0700X | Physician Assistant - Medical | 036-087287 (Illinois) | Secondary |
363A00000X | Physician Assistant | 085-002903 (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
24 On Physicians Pc | 5698688141 | 237 |
Mailing Address | Practice Location Address |
---|---|
Ms Nicole A Johnson, PA-C Po Box 3988, Carbondale, IL 62902-3988 Ph: (618) 457-5200 | Ms Nicole A Johnson, PA-C 405 W Jackson St, Carbondale, IL 62901-1462 Ph: (618) 549-0721 |
Mr. Lukas Ward, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 405 W Jackson St, Carbondale, IL 62901 Phone: 618-549-0721 Fax: 618-529-0479 | |
Ms. Britney Nicole Arnold, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 405 W Jackson St, Carbondale, IL 62901 Phone: 618-549-0721 Fax: 618-457-0469 | |
Joeli Diemer, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 300 W Oak St, Carbondale, IL 62901 Phone: 618-536-6621 | |
Mr. Michael Leroy Matteson, PA C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 305 W Jackson St, Suite 105, Carbondale, IL 62901 Phone: 618-536-2565 Fax: 618-536-2835 | |
John Howard Davidson, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 405 W Jackson St, Carbondale, IL 62901 Phone: 618-549-0721 Fax: 618-457-0469 | |
Kilmeny Clark, Physician Assistant Medicare: Medicare Enrolled Practice Location: 300 W Oak St, Carbondale, IL 62901 Phone: 618-453-8850 |